Word: heartfully
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...case could decide the political futures of both men. But as all of France watches agog, it has also come to symbolize the huge chasm in class and upbringing at the heart of France's political class and the country itself. "Their confrontation isn't just one of politics and ideology, but a battle of culture and class between the petit bourgeois and the aristocrat; between the lofty, cerebral leadership figure and the pragmatic official driven to get things done - and it cuts across France's entire political landscape," says political analyst Stéphane Rozès, president...
Searching for Whitopia: An Improbable Journey to the Heart of White America...
...peak, all manner of fixes have been proposed to the health-care system, from small tweaks to wholesale overhauls. There's pay-for-performance: compensation depending on doctors' success in keeping costs down and getting patients well. There's episode care: a fixed price for a procedure like a heart bypass that covers everything from pre-op to surgery to full recuperation. Most broadly, there's global care, which provides access to a diverse team of caregivers who cover all of a patient's needs for a single premium over the length of a policy - essentially episode care writ large...
...doctor on the night shift knowing little about a patient whose surgeon worked the day shift. Dr. Alfred Casale, Geisinger's chief of cardiothoracic surgery, tells stories of surgeons who don't even conform to the same rules for color-coding wires in a heart device, making it awfully hard for an intensive-care technician to do repairs if something goes wrong. "When there's a complication at 2 in the morning," he says, "too often nurses can't ask, 'What's his problem?' until they ask, 'Whose is he?'" (Read "Drive-Thru Medical: Retail Health Clinics' Good Marks...
...Steele decided to fix this, switching Geisinger over to a prix fixe, episode-care model for surgery, starting with the heart bypass. Under the new system, a closely coordinated team of caregivers would be responsible for every stage of a bypass patient's treatment and recovery. The hospital would submit a single bill for all work and include a 90-day warranty. If a patient checked back in with a complication like a postsurgical infection, that work would be on Geisinger's dime. "We'll do it right, or we won't send a bill" was how Steele...